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SHASTA PRIMARY CARE LLC
NPI 1740945906
Clinic/Center - Primary Care in Redding, CA

Active since November 03, 2021
2121 AIRPARK DR, REDDING, CA 96001(530) 255-8025(530) 255-8028 Get Directions Write a Review

NPPES record last updated: April 2, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 2, 2023, Nov 3, 2021 (2 updates tracked since 2021).

About Shasta Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTA PRIMARY CARE LLC (NPI 1740945906) is a healthcare organization registered as a primary care in Redding, California and active in the NPI registry since November 2021. The organization lists Shauni Vonice Williams, Rendering Provider/founder, as its authorized official.

NPPES Registry Identity

NPI1740945906
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSHASTA PRIMARY CARE LLC
Location Address2121 AIRPARK DRRedding, CA 96001-2433
Mailing Address2121 Airpark DrRedding, CA 96001-2433 · (530) 255-8025 · Fax (530) 255-8028
Phone(530) 255-8025
Fax(530) 255-8028
Organization SubpartNo
Authorized OfficialShauni Vonice WilliamsRendering Provider/founder · (530) 949-7860
Enumeration DateNovember 3, 2021
Last NPPES UpdateApril 2, 20232 updates tracked since enumeration
NPPES CertifiedApril 2, 2023
✔ NPI 1740945906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2121 AIRPARK DR, Redding, CA 96001
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Other Identifiers 3

Other202129410899CA · State File Number
Medicaid1000694320CA
MedicaidCA376666CA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT E. MAURER M.D.
Specialist
2121 AIRPARK DR
REDDING, CA 96001
Shasta County (530) 244-6001
MS. SHAUNI VONICE WILLIAMS NP-C
Nurse Practitioner (Family)
2121 AIRPARK DR
REDDING, CA 96001
Shasta County (530) 255-8025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shasta Primary Care LLC's NPI number?

The NPI number for Shasta Primary Care LLC is 1740945906. It was assigned to this organization in the NPPES registry on November 3, 2021.

Where is Shasta Primary Care LLC located?

Shasta Primary Care LLC is located at 2121 Airpark Dr, Redding, CA 96001. The listed phone number is (530) 255-8025.

What is Shasta Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Shasta Primary Care LLC was last updated on April 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.